The Reverse Superficial Sural Artery Flap Revisited for Complex Lower Extremity and Foot Reconstruction

The Reverse Superficial Sural Artery Flap Revisited for Complex Lower Extremity and Foot Reconstruction

BACKGROUND Soft-tissue defects of the distal lower extremity and foot present significant challenges to the reconstructive surgeon. The reverse superficial sural artery flap (RSSAF) is a popular option for many of these difficult wounds. Our initial experience with this flap at multiple institutions resulted in a 50% failure rate, mostly because of critical venous congestion. To overcome this, ...

Distally based superficial sural artery flap for foot and ankle reconstruction in children.

BACKGROUND Wheel spoke injury of the ankle and foot is very common in children and its reconstruction is challenging. Reverse sural artery flap is very useful to cover these defects. Free tissue transfer is an option in children which needs a micro-vascular expertise, expensive equipment and long operating time. METHODS Sixteen cases with ankle and foot defects were operated during a period o...

Versatility of Reverse Sural Artery Flap for Heel Reconstruction

Introduction: The heel has two parts, weight bearing and non-weight bearing part. Soft tissue heel reconstruction has been a challenge due to its complex nature of anatomy, weight bearing part of foot and the mechanism of injury requiring reconstruction. The pattern of injury includes from simple laceration to a complex wound with loss of soft tissue and fracture involving various degrees of ca...

Gastrocnemius Muscle Flap and Its Application in Lower Extremity Reconstruction

experience with reverse sural flap to cover defects of the lower leg and foot

results: we performed reverse sural flaps in eight gunshot patients, to cover the defects of the lower leg and foot. surgical site infection observed in one patient (12.5%) was treated successfully with antibiotic therapy. the reverse sural flap provided a satisfactory coverage for gunshot defects in all the patients. objectives: the purpose of this prospective case series study was explore the...